Fairview Heights Medical Group Sc in Alton - Urology
Fairview Heights Medical Group Sc - NPI 1689717621
Fairview Heights Medical Group Sc is a Urology in Alton, Illinois. Fairview Heights Medical Group Sc practices all healthcare services and medical treatments related to Urology. The NPI Number for Fairview Heights Medical Group Sc is 1689717621. The last update date is 2008-01-07.
Fairview Heights Medical Group Sc's current location address is 2 Memorial Dr, Alton, Illinois. You can contact this provider via phone number 6184620720. The mailing address for Fairview Heights Medical Group Sc is 2 Memorial Dr, Alton, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairview Heights Medical Group Sc |
|---|---|
| Address | 2 Memorial Dr, Alton, Illinois |
| Phone Number | 6184620720 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Davidson P Raymond |
| Credentials | MD |
| Telephone Number | 3142862028 |
NPI Number Detail
| NPI Number | 1689717621 |
|---|---|
| Provider Enumeration Date | 2007-02-15 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 2 Memorial Dr |
|---|---|
| City | Alton |
| State | Illinois (IL) |
| Post Code | 620026723 |
| Phone Number | 6184620720 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Urology |
|---|---|
| Taxonomy | 208800000X |
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Definition: A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquir |
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What is the unique identification code assigned to Fairview Heights Medical Group Sc by the Centers for Medicare & Medicaid Services?
The Fairview Heights Medical Group Sc has been issued the NPI (National Provider Identifier) 1689717621. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Fairview Heights Medical Group Sc is located?
The Fairview Heights Medical Group Sc is situated at the following address: 2 Memorial Dr, Alton, IL, 620026723.
What is the Fairview Heights Medical Group Sc's area of specialization and corresponding taxonomy classification?
The Fairview Heights Medical Group Sc's specialty field is Urology, and it falls under the taxonomy code 208800000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1689717621 to Fairview Heights Medical Group Sc?
The Centers for Medicare & Medicaid Services assigned the 1689717621 to Fairview Heights Medical Group Sc on 2007-02-15.
As of what date was the information regarding Fairview Heights Medical Group Sc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Fairview Heights Medical Group Sc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-01-07.
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